Individual
SARAH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
50 E GLOUCESTER PIKE, BARRINGTON, NJ 08007-1323
(856) 547-4422
(856) 547-0660
Mailing address
963 CHESTERFIELD RD, HADDONFIELD, NJ 08033-3979
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01186300
NJ
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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